Septal deviation can be rarely confirmed on x-rays. A CT gives a better view of the deviation and is more reliable. But in any case a good nasal endoscopy can give the best interpretation. And the treatment will depend on how much of a block you r facing at a given time. If there is no obstruction you need not undergo surgery

Nasal endoscopy can confirm the findings

Could be an S-shaped deviation, but most probably misinterpretation my radiologist reading X-Ray as it is very confusing to report Septal deviation on X-Ray due to superimposition of tissues, which is why good ENT Specialists never order for X-Rays, only CT scans of Nose....In case of affordability being an issue, we go to the extent of requesting diagnostic centers to do it at a big discount and avoid printing on films only send images to us by email. It is then billed as a screening CT -PNS at a 40-50% discount over the rack rate! This way, radiologist saves money not having to use hoti 3 large films, patient is happy to get huge discount and me as a Surgeon am happy to get accurate information to treat my patient properly!

CT scan is more accurate and precise than x ray and there must have been wrong reporting of x ray. So if you have symptoms of significant nasal obstruction then you may need to undergo surgery known as septoplasty